HomeMy WebLinkAboutPermit Signage 2009-9-22
225 FIITHSTREET . SPRlNGFIELp, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Date of Removal '
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Date of Installation
Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
By signature, I state and agree that I have carefully completed this application and hereby certify that
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all information herein is true and correct. 1 further agree and understand that the above described
banner(s) and/or portable sigil(s) is not larger than 60 squarefeet,.and will be removed within 30 days
from the date listed above. lithe banner(s) and/or portable sign is not removed within the timeline
specified, 1 will forfeit the $100.00 deposit. I also understand that this special permit can be issued
only twice per calendar year per development area. I also agree to call the inspection line at 726-3769
by the, end of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). Thi~ ;""'z:'on~' be' the process to return the $100,00 deposit if the banner(s) and/or
portable sign(s) ~ ber, ,e ed]j
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Date of Application
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Shared Drive (T:)IBuilding FonnsIBanncryortablc SignPennit CSD 7-os.doc
Status
Finaled
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
'541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4360 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323102800
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01401
ISSUED: 09/22/2009
APPLIED: 09/22/2009
EXPIRES: 03/22/2010
VALUE:
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Banner - ref:C0D2009-00687
Owner:
Address:
SULLIVAN JOINT TRUST
PO BOX 41404;,
EUGENE OR 97404
Contractor Type'
Sign
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: '
Frontyard Setback:
Side 1 Setback:
. Side 2 Setback: '
Rearyard Setback:
Solar Setbacks: '
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
TYPE OF USE: New
Commercial
I CONTR.^CTOR INFORMATION I
~U1LD1NG INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
License
Expiration Date Phone
n/a
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I~UBLIC I:WPROVEMENTS I
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
REQUIRED PARKING
Total:
Handicapped:
Compact;
Sidewalk Type:
DownspoutslDrains:
Square Footage
or Bid Amount
Date Calculated
Page I of 2
Value
Status Finaled.
I
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 inspection, Line
;.,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01401
ISSUED: 09/22/2009
APPLIED: 09/2212009
EXPIRES: 03/2212010
VALUE:
!.'i.... '.
Total Value of Project
Fees Paid I
Fee Description
***+ 100/0 Administrative Fee*** <-
+ 5% Technology Fee
Banner Special Permit
Amount Paid
. ,
Date Paid
Receipt Number
$10.00
$5.00
$100.00
9/22/09
9/22/09
9/22/09
2200900000000001076
2200900000000001076
2200900000000001076
Total Amount Paid
$115.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day,,inspections requested after 7:00a.m. will be made the following
work day.
I RrolJ.ir~~ I~soect.i~,1S I
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct,"and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at'all
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tractors Signatu/ Date
Page 2 of2
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,225'Fifth Street
Springfield, Oregon 97477
541"7.26-3759 Phone ';
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RECEIPT #:
r.
2200900000000001076
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Job/Journal Nurriber.:~,:<:,.;,D'e's'cription, .j;'
COM2009cO 140 I "': B'a~ner Speci,alPermit
C0M2009-01401 + 5% Technology Fee
COM2009-01401 ***+ 10% Administrative Fee***
Payments:
Type of Payment
Check
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cReceintl
.-. ,
:;P;id'~yiij: ' ,
'''YH1TE HORSE TAVERN
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Received By
djb
Check Number
Batch ~umber
Page 1 of 1
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/22/2009
Item Total:
Authorization
Number How Received
1250
In Person
Payment Total:
11 :06:33AM
Amount Due
100,00
5,00
10,00
$115.00
Amount Paid
$1 \5,00
$115.00
9122/2009'